0001209191-12-001153.txt : 20120104 0001209191-12-001153.hdr.sgml : 20120104 20120104161900 ACCESSION NUMBER: 0001209191-12-001153 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120103 FILED AS OF DATE: 20120104 DATE AS OF CHANGE: 20120104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Inman Gregory Stephen CENTRAL INDEX KEY: 0001534187 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23800 FILM NUMBER: 12506367 MAIL ADDRESS: STREET 1: LACROSSE FOOTWEAR INC. STREET 2: 17634 NE AIRPORT WAY CITY: PORTLAND STATE: OR ZIP: 97230 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LACROSSE FOOTWEAR INC CENTRAL INDEX KEY: 0000919443 STANDARD INDUSTRIAL CLASSIFICATION: RUBBER & PLASTICS FOOTWEAR [3021] IRS NUMBER: 391446816 STATE OF INCORPORATION: WI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 17634 NE AIRPORT WAY CITY: PORTLAND STATE: OR ZIP: 97230 BUSINESS PHONE: 5037661010 MAIL ADDRESS: STREET 1: 17634 NE AIRPORT WAY CITY: PORTLAND STATE: OR ZIP: 97230 4 1 doc4.xml FORM 4 SUBMISSION X0304 4 2012-01-03 0 0000919443 LACROSSE FOOTWEAR INC BOOT 0001534187 Inman Gregory Stephen LACROSSE FOOTWEAR, INC. 17634 NE AIRPORT WAY PORTLAND OR 97230 0 1 0 0 VP of Administration Employee Stock Option (right-to-buy) 12.80 2012-01-03 4 A 0 3000 0.00 A 2013-01-03 2019-01-03 Common Stock 3000 3000 D Option becomes exercisable as to 25% of the shares on January 3, 2013, and as to an additional 25% of the shares on January 3, 2014, January 3, 2015 and January 3, 2016, respectively. /s/ Derek Chase, Attorney-in-fact for Gregory S. Inman 2012-01-04